South Dakota Mitchell Jobs

Navigant Consulting, Inc. (NYSE: NCI) is a specialized, global professional services firm that helps clients take control of their future. Navigant’s professionals apply deep industry knowledge, substantive technical expertise, and an enterprising approach to help clients build, manage and/or protect their business interests. With a focus on markets and clients facing transformational change and significant regulatory or legal pressures, the Firm primarily serves clients in the healthcare, energy and financial services industries. Across a range of advisory, consulting, outsourcing, and technology/analytics services, Navigant’s practitioners bring sharp insight that pinpoints opportunities and delivers powerful results. More information about Navigant can be found at navigant.com.

Navigant Cymetrix unites the strengths of four category-leading companies to address the complexities of today’s healthcare system. We design, develop and implement integrated, patient-centered solutions for sustained improvements in performance and profitability, working collaboratively across a spectrum of customers that encompasses hospitals, health systems, physician practice groups and payers.

The Medical Coding Auditor- Acute Care shall report directly to the Internal Quality Control Coding Director and will be responsible for accessing and reviewing the medical record documentation, coding and abstracting accuracy as performed by the Navigant Cymetrix coding team by utilizing ICD-10 and CPT coding classification systems. Review of patient records will be conducted via facility EMR, scanning technology or other established method. This position will perform any and all related job duties as assigned.

Computer Literacy.

Excellent verbal and written Communication Skills.

High level of productivity.

HIPAA compliant work stations.

Advanced Coding Skills, ICD-10-CM and CPT.

Strong knowledge of governmental regulations relating to coding.

Ability to work independently.

Strong working knowledge of Protected Health Information.

Ensure 5% coding quality review (or percentage stipulated in client contract) of each coder’s work is conducted monthly for those facilities the reviewer is assigned. Coding quality review will be conducted to identify abstracting (to include dc disposition and POA indicators), ICD-10-CM, CPT, modifier, and HCPCS coding errors for codes assigned by the coding team (see quality review policies for review details).

Review coding and abstracting on all patient types assigned to include the following: inpatient, ambulatory surgery, observation, ER, clinic and diagnostics in order to assure 96% coder accuracy (or as stipulated by client contract).

Become familiar with any facility specific coding guidelines and know where to access on the Navigant Cymetrix portal.

Required to read all Coding Clinics updates and stay abreast of all new coding guidelines.

Assist as needed in the review of external coding audit company findings and formulates a response to be used in the defense of the codes assigned.

Provide company support for the creation, maintenance and ongoing operation of an efficient and accurate Quality Improvement Plan that is compliant with Local, State, and Federal Government Regulations.

Work with the Coding Manager to provide on-going coding education resulting from the Quality Reviews. This will involde direct one-on-one correspondence between the coder and reviewer.

Maintain open lines of communication serving as a liaison for coders.

Participate in meetings as requested.

Reviewer must be able to work independently while maintaining specific productivity standards.

Navigant will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.